User talk:Jazthakur

Support Services

LINEN & LAUNDRY SERVICES Overview •	Previously, people (dhobi) used to be hired, or all washing activities used to be on Contract Basis based on Tender. •	Due to various drawbacks of “Dhobi” system, it was changed and self-regulated by hospital. •	It is a department responsible for providing adequate, safe and timely supply of linen items when and where needed. •	It is a good public relation tool and marketing tool for hospital because of high visibility. •	It contributes in providing overall good quality patient care. •	It is also a department, which faces maximum criticism in a hospital. •	It has great importance justified in two ways; •	For safety of patient •	For good appearance •	The term hospital linen covers all textiles of the hospital including mattresses, pillows, blankets, sheets, towels and so on most frequently used materials. •	Laundry is such department which is responsible for providing adequate, safe and timely supply of linen to user departments. •	Laundry is also very vulnerable to the cross-infection so infection control mechanisms should be properly considered in this department.. •	It has been found that a breakdown in linen supply causes 3%- 4% cancellation of operation schedules. •	Similarly 3%-4% infections spread due to mishandling of infected linen in the hospital.

Classification of Hospital Linen •	Patient Linen •	Bed Linen, •	Body Linen, •	OT Linen •	Staff Linen, •	Department Linen •	Laundry Linen •	Contaminated infected Linen •	Soiled linen, •	Foul Linen

Linen Requirement 1.	OTs & Labor room are calculated on actual consumption. 2.	General & private wards are estimated at the rate of 2-3.5 Kg. Of dry linen per patient per day. 4 sets of linen per bed is needed 5 sets of linen should be planned as active inventory; –	A soiled one in use on the patient’s bed. –	A clean one in the linen closet in the nursing unit –	A soiled one in the dirty linen collection area –	One piece being processed in the laundry –	A clean one in the linen store or back-up store for replacing active store –	Preferably in the ground floor of an isolated building connected or adjacent to the power plant. Because laundry is the largest user of power, steam, and water. –	It should be so located as to have ample daylight and natural ventilation. –	It should be accessible to inpatient ward. –	Close to service elevators. –	It should be so located that allows movement of linen by the shortest route.
 * 1) One set to be in use.
 * 2) 1 set at the laundry.
 * 3) 1 set for available for immediate used.
 * 4) 1 set for stand by and emergency purpose

Location •	Preferably in the ground floor of an isolated building connected or adjacent to the power plant. Because laundry is the largest user of power, steam, and water. •	It should be so located as to have ample daylight and natural ventilation. •	It should be accessible to inpatient ward. •	Close to service elevators. •	It should be so located that allows movement of linen by the shortest route. FUNCTION Linen & Laundry Services •	Collection or receiving soiled and infected linen •	Processing soiled linen •	Inspection and repair of damaged articles, their condemnation and replacement. •	Assembling and packing of linen. •	Distributing finished linen. •	Maintenance and control of inventories and processed linen. Organization •	The efficient operation of the laundry depends upon trained and skilled manpower. •	The operational chief of the laundry is a laundry manager who may have been trained in laundry operation or adequate experience in the field. •	Reports to the associate administrators. •	Most of the hospitals are recruiting trained personnel to head their in house laundries. •	Others technical as well as general will work. Manpower requirement of the laundry To success & efficient operation of the laundry select technically trained, experienced laundry manager. Estimated average numbers, by size of hospital No. Bed				No. of employees 50							2 100						6 200						11 300						20 400						27 500						32 Types of laundry Services 1.	Contract System: Demerits: 2. Rental system- More expensive & only short period recommended. small <50 beds ideal. 3. Cooperative system – Caters number of hospital.Merits: 4 In-plant system: Run owns and its own mechanical laundry services. Advantages: Methods of Supply •	Clean for dirty exchange: Clean linen is provided in place of dirty linen. •	Topping up system: 24 hrs. supplied. •	Requisitioning system •	Daily quota system Linen Work flow
 * 1) Mixing of linen.
 * 2) More chances of loss in transit.
 * 3) Chances of cross infection.
 * 1) Cheaper costs of production
 * 2) Less investments
 * 3) Convenient for smaller hospitals.
 * 1) Reduced loss and damage
 * 2) Assure regular supply within limited inventory
 * 3) Safe handling of infected linens
 * 4) Control on washing formula.

Facilities requirement •	Reception area with facilities for receiving, •	storing & washer-loading of soiled linen, •	central disinfections area, clean linen processing room, •	laundry manager’s office, sewing, inspection & mending area, •	light table, supply storage room, lockable store, •	provision for supply of water, power, stream, •	cart-washing and cart storage area, •	clean linen storage room and issuing counter. •	In off site: A clean linen storage & issuing room, lockable storage in nursing unit/user department, separate rooms for receiving and holding soiled linen from the wards. Floors •	Dust free, smooth (chips), concrete •	Having drainage •	Should not be slippery or water remaining on the surface •	Preferably, lattice-type wood mats should be placed at each workstation. Equipment use in Linen & laundry •	Washer extractor sluicing machine, •	 Double door washing machine, •	Hydro extractor (combining washing, rinsing and extraction), Flat work iron, •	Tumble dryer, table trolley, •	ironing table, hand iron, •	dry linen trolley, Linen hanger, •	distribution trolley, •	motorized sewing machine etc. Duties of Linen & laundry Manager •	Buying linen, •	warehousing, •	issuing new linen, •	delivering, •	collecting and some times repairing linen. •	Managing people and equipment. •	Manage large quantities of supplies. •	Check timely shortages and linen abuse. Control of Theft of linen •	Use of lock and keys •	No duplication of keys •	Prohibiting unauthorized entrance •	Color codes and stamps •	Inventory checks and counting •	Keeping linen supply level low as far as possible

Conclusion •	Linen carts should be kept facing to nursing station •	Main objective of providing better medical care to the patients in a clean, conducive environment. •	The efficiency and effectiveness of nursing care can increase with a better organized this Linen services.